Management of urinary incontinence
Urinary incontinence is a very common problem, and women with urinary incontinence account for 15-20% of the female population. Despite this, there is no need to panic, as 90% of patients can improve with proper treatment.
Types of incontinence problems
1, stress incontinence involuntary leakage of urine when coughing, sneezing, doing sports to pick up heavy objects. Fan Baowei, Department of Gynecology, Guangdong Maternal and Child Health Hospital
2.Ergent incontinence Involuntary urination when there is a strong feeling of urination.
3.Frequent urination.
4.Other: such as frequent nocturnal urination
If the above urinary problems are found, patients need not feel embarrassed and distressed, but should inform the physician of the situation for early treatment.
Examination procedure
1.Case inquiry
2.Gynecological examination
3.Piss record
4.Urodynamic examination to determine the cause of urinary incontinence
5.Other tests such as: urine analysis, blood glucose test.
Treatment
Treatment is determined by the combination of symptoms and tests, such as
1.Bladder training to reduce the symptoms of frequent urination.
2. medication to control involuntary bladder contractions.
3.Pelvic muscle exercises to reduce the flaccidity of the pelvic muscles.
4.Surgery to support the bladder and bladder head that have been relaxed.
Bladder training
Bladder training is used to train bladder extension to restore normal urinary habits. Incontinence can improve with bladder training.
What is normal?
Generally speaking, an adult bladder can carry 300-500ml of urine and it is normal to have 4-6 times during the day and 1-2 times at night. Urination should be smooth and painless, and the volume of urine should be 200ml or more each time. The volume of urine certainly depends on the amount of water intake. The bladder capacity of the elderly will be lower than that of adults, so the number of trips to the toilet will be relatively frequent, even if it is normal to go to the toilet 8 times a day.
Bladder exercises
Before starting a training program, it is important to understand your urinary habits. For example, how much urine your bladder can normally handle and how many times you urinate each day (including day and night).
Training program
1.Concentrated urine will stimulate the bladder and lead to frequent urination, so the daily water intake should be 1000-1500ml. water should be distributed evenly, do not drink a lot of water in a short period of time, in addition, you should avoid drinking alcoholic or caffeinated beverages.
2. Do not take in water 2 hours before going to bed.
3. Avoid going to the toilet “just in case”.
4.Try to hold it in when you have a slight urge to urinate (except for urgent urination after entering water). You can do work to distract yourself, such as watching TV, until the urgency to go to the toilet disappears. It may be difficult at first, and you may only be able to extend the time of patience for 2-3 minutes, but if you persist, you can slowly increase the extended time.
5.Try to keep going to the toilet once every 2-3 hours.
6.Register your urination situation on the urine record sheet every day for reference.
Caution
1.To avoid constipation, you should drink more water and eat more food containing fiber. Such as vegetables and fruits. Should maintain a regular bowel habit.
2.Use pelvic muscle exercises to complement bladder training.
3.Bladder training needs time and persistence, so don’t be discouraged. Follow up regularly.